| NPI | 1932237260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NE 670) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY003383) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2013-05-16 |